Provider Demographics
NPI:1588896161
Name:LUBBOCK ESSENTIAL HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:LUBBOCK ESSENTIAL HOME HEALTH CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:BNS
Authorized Official - Phone:806-747-4229
Mailing Address - Street 1:2501 BAYLOR ST
Mailing Address - Street 2:SUITE 50
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-2352
Mailing Address - Country:US
Mailing Address - Phone:806-771-2684
Mailing Address - Fax:806-747-1118
Practice Address - Street 1:2501 BAYLOR ST
Practice Address - Street 2:SUITE 50
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-2352
Practice Address - Country:US
Practice Address - Phone:806-771-2684
Practice Address - Fax:806-747-1118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUBBOCK ESSENTIAL HOME HEALTH CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-17
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000100332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024159803Medicaid
TX024159803Medicaid